Glendale Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLENDALE PHARMACY INC

Practice address

2498 E Colorado Blvd
Pasadena, CA 91107-4250

Phone

(818) 244-3164

Fax

(818) 244-1145

NPI assigned

Aug 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rita Avakian

Title

President

Phone

(818) 521-4101

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Colalta Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Glendale Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Glendale Pharmacy Inc

  • Long Term Care Pharmacy
  • Pasadena, CA
  • NPI 1013801505
  NPD tax ID
• Glendale Pharmacy Inc

  • Specialty Pharmacy
  • Glendale, CA
  • NPI 1184284457
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Delta Drugs II Inc

  • Community/Retail Pharmacy
  • Glendale, CA
  • NPI 1790036671

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1801807482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074250",
            "telephone_number": "818-244-3164",
            "fax_number": "818-244-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074250",
            "telephone_number": "818-244-3164",
            "fax_number": "818-244-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-521-4101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990406",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA484210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colalta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.